KEESHA M JETER (NPI# 1336340801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336340801 |
| Entity Type | Individual |
| Full Name | KEESHA M JETER |
| Credential | PA-C |
| Practice Address |
849 W 34th St Los Angeles CA 90089-0311 |
| Practice Telephone | 2137408742 |
| Practice Fax Number | 2137404322 |
| Mailing Telephone | 2137408742 |
| Mailing Fax Number | 2137404322 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2012-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 15351 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
849 W 34TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90089-0311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649281130 | Etan Milgrom | Allergy & Immunology | 849 W 34th St, Los Angeles, CA 90089-0079 | 2006-08-10 |
| 1477762599 | Lisa Richardson | Pediatrics | 849 W 34th St, Los Angeles, CA 90089-0079 | 2007-05-22 |
| 1457560153 | Michael Collier Creamer | Physician Assistant | 849 W 34th St, Los Angeles, CA 90089-0079 | 2007-05-21 |
| 1801015938 | Darryl Mayo | Physician Assistant | 849 W 34th St, Los Angeles, CA 90089-0079 | 2007-04-25 |
| 1609095041 | Lori Walker | Internal Medicine | 849 W 34th St, Los Angeles, CA 90089-0311 | 2007-04-24 |
| 1437376175 | Emily H. Kumai | Physician Assistant | 849 W 34th St, Los Angeles, CA 90089-0311 | 2007-04-20 |
| 1326265315 | Yasuko Margie Furumoto | Dermatology | 849 W 34th St, Los Angeles, CA 90089-0311 | 2007-04-19 |
| 1861618944 | Donna Marie Beard Gilchrist | Nurse Practitioner | 849 W 34th St, Los Angeles, CA 90089-0311 | 2007-04-18 |
| 1275759425 | Kevin D Kwak | Internal Medicine | 849 W 34th St, Los Angeles, CA 90089-0311 | 2007-04-17 |
| 1306935564 | Karel William Kooper | Family Medicine | 849 W 34th St, Los Angeles, CA 90089-0079 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962980201 | Brittany Nicole Beasley | Psychologist | 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 | 2018-07-30 |
| 1548763675 | Tien Ng | Pharmacist | Usc School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089 | 2018-03-15 |
| 1821503236 | Theodore James Goldsmith | Psychologist | 1031 W 34th St Fl 3, Los Angeles, CA 90089 | 2017-12-07 |
| 1174046890 | Erin Lindsay Mcintyre | Occupational Therapist | 1540 Alcazar Street, Chp 133, Los Angeles, CA 90089 | 2017-07-25 |
| 1831645571 | Alyssa Cantal | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St., Chp-133, Los Angeles, CA 90089 | 2016-09-01 |
| 1841744638 | Cheryl Jonghee Park | Dentist | 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 | 2016-08-09 |
| 1528412376 | Mark Duan Ard Jr. | Psychiatry & Neurology | 1975 Zonal Ave, Los Angeles, CA 90089 | 2016-04-18 |
| 1851766679 | Samantha Trout | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St Chp-133, Los Angeles, CA 90089 | 2015-12-04 |
| 1215324363 | Upama Giri | Student in an Organized Health Care Education/Training Program | 1441 Eastlake Ave Ste 3470, Los Angeles, CA 90089 | 2015-04-15 |
| 1982015004 | Martrice Ways | Student in an Organized Health Care Education/Training Program | 3375 South Hoover Street, Suite H201, Los Angeles, CA 90089 | 2014-05-12 |
| Find all providers in zip 90089 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929644 | Tatum Little | Physician Assistant | 3307 W 79th St, Los Angeles, CA 90043-5249 | 2020-10-15 |
| 1144828963 | Chan Ho Park | Physician Assistant | 4721 Oakwood Ave, Los Angeles, CA 90004-3112 | 2020-10-14 |
| 1235737172 | Jennifer Rae Levitt Physician Assistant, Inc | Physician Assistant | 1439 N Highland Ave Ste 1059, Los Angeles, CA 90028-7622 | 2020-10-13 |
| 1174120943 | Melody Fatehi | Physician Assistant | 6228 Orange St Apt 9, Los Angeles, CA 90048-4836 | 2020-10-05 |
| 1467063826 | Hannah Shannon Rihani | Physician Assistant | 1737 Midvale Ave, Los Angeles, CA 90024-5512 | 2020-08-11 |
| 1356969901 | Emily Rachel Lavi | Physician Assistant | 1132 S Holt Ave Apt 7, Los Angeles, CA 90035-2424 | 2020-07-09 |
| 1083242952 | Julia Andrea Hurtado | Physician Assistant | 3783 Cimarron St, Los Angeles, CA 90018-4463 | 2020-03-27 |
| 1174150130 | Susan C. Williams | Physician Assistant | 2215 Alcazar St, Los Angeles, CA 90033-1003 | 2020-03-26 |
| 1720615776 | Shannon Hakakeyan | Physician Assistant | 1580 Manning Ave Apt 303, Los Angeles, CA 90024-6086 | 2020-03-26 |
| 1952938243 | Jayanti Sharma | Physician Assistant | 1515 Amherst Ave Apt 303, Los Angeles, CA 90025-3677 | 2020-03-25 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90089 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.